| LCA CASE NUMBER | I-200-24103-881024 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-12 |
| DECISION DATE | 2024-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-01 |
| END DATE | 2027-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southern Tier Community Health Center Network, Inc. |
| TRADE NAME DBA | Universal Primary Care |
| EMPLOYER ADDRESS1 | 135 North Union Street |
| EMPLOYER CITY | Olean |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14760 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17167016863 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Wagner |
| EMPLOYER POC FIRST NAME | Jodie |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 135 North Union Street |
| EMPLOYER POC CITY | Olean |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14760 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17167016863 |
| EMPLOYER POC EMAIL | jwagner@upchealth.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DAVIS |
| AGENT ATTORNEY FIRST NAME | BRANDON |
| AGENT ATTORNEY MIDDLE NAME | ERIC |
| AGENT ATTORNEY ADDRESS1 | 365 CANAL ST. |
| AGENT ATTORNEY ADDRESS2 | STE. 2000 |
| AGENT ATTORNEY CITY | NEW ORLEANS |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | ORLEANS PARISH |
| AGENT ATTORNEY PHONE | 15045849312 |
| AGENT ATTORNEY EMAIL ADDRESS | davisb@phelps.com |
| LAWFIRM NAME BUSINESS NAME | PHELPS DUNBAR LLP |
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 132 West Main Street |
| LCA CASE WORKLOC1 CITY | Cuba |
| WORKSITE COUNTY | ALLEGANY |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14727 |
| LCA CASE WAGE RATE FROM | 187000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163925 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |